Pain Measurement Tools and Methods, Ambulatory Blood Pressure Monitoring and Questionnaires in Clinical Research –Overview
Abstract:
An Expert Working to review the status of the use of
pain measurement tools (PMTs), Ambulatory blood pressure monitoring (ABPM) and
Questionnaires in Clinical Research. The present work recommends that
standardized methods should be applied for the use of PMTs in research.
Unidimensional pain measurement tools (PMTs) and multidimensional pain
measurement tools (PMTs) designed to assess pain, the McGill Pain Questionnaire
and Brief Pain Inventory are valid in many multilingual versions.
The diagnosis and management of hypertension is based
on blood pressure (BP) measurements taken by doctors or nurses with
conventional sphygmomanometers. Asking the patient to take their own BP at home
has been sporadically reported for many years, but the potential value of
patient home measurement has been overshadowed by the development of continuous
ambulatory BP monitoring.
Ambulatory blood pressure monitoring have been shown
to improve the management of hypertension. Twenty practices were asked to monitor
hypertensive patients, in particular those about to start drug treatment and
those who were poorly controlled.
A good questionnaire design for a clinical trial will
minimize bias and maximize precision in the estimates of treatment effect
within budget. The mode of administration can also impact on the cost, quality
and completeness of data collected. There is good evidence for design features
that improve data completeness but further research is required to evaluate
strategies in clinical trials. Theory-based guidelines for style, appearance,
and layout of self-administered questionnaires have been proposed.
KEYWORDS: pain
measurement tools (PMTs), Ambulatory blood pressure monitoring (ABPM),
Questionnaire design, Mode of administration, Guidelines.
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